Novel automated immune turbidimetric assay for routine urinary cystatin-C determinations
Author(s) -
Balázs Szirmay,
Péter Kustán,
Zoltán HorváthSzalai,
Andrea Ludány,
Ágnes Lakatos,
Diána Mühl,
István Wittmann,
Attila Miseta,
Gábor L. Kovaćs,
Tamás Kőszegi
Publication year - 2018
Publication title -
bioanalysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.566
H-Index - 58
eISSN - 1757-6199
pISSN - 1757-6180
DOI - 10.4155/bio-2017-0228
Subject(s) - cystatin c , turbidimetry , urinary system , chromatography , immune system , chemistry , microchemistry , cystatin , medicine , immunology , biochemistry , creatinine
Aim: There is no commercially available urinary cystatin-C (u-CYSC) test in the market. Therefore, we optimized and validated an automated immune turbidimetric test for u-CYSC measurements and investigated u-CYSC concentrations in acute and chronic diseases which might lead to renal tubular disorders. Materials & methods: A particle-enhanced immune turbidimetric assay was adapted and validated on a Cobas 8000/c502 analyzer. Urine samples of different patient groups were also analyzed. Results: Our method showed excellent analytical performance. U-CYSC/u-creatinine (u-CREAT) was higher in sepsis-related acute kidney injury group (p < 0.001) compared with controls and to patients with chronic hypertension and Type 2 diabetes. Conclusion: We validated a fast, sensitive, fully automated u-CYSC assay which is ideal for routine use and might be a potential complementary laboratory test to evaluate renal tubular function.
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